Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/
You can print this page and show it to your doctor.

This database was last updated in October 2019 and should only be used as a historical snapshot. Newer data is available at the Centers for Medicare and Medicaid Services Open Payments site.

ProPublica's Dollars for Docs database lets you search for payments to U.S.-based doctors made by pharmaceutical and medical device companies between August 2013 and December 2018. The disclosure of these payments is required under the Physician Payments Sunshine Act, a provision of the 2010 Affordable Care Act.


About This Information

  • The information that appears here comes directly from the federal government. Companies must attest to its accuracy, and doctors have the ability to contest information they believe is in error.
  • This site includes payments for such activities as speaking, consulting, meals, travel and royalties. It does not include payments for clinical research.
  • It is legal for companies to make payments to doctors as long as the payments are not a kickback or inducement to use their products.
  • Some doctors say collaborative relationships, particularly those involving research, are necessary to develop new treatments and cures. But many ethicists have raised questions about the payments, and studies show that they may influence doctors' prescribing decisions.
  • Only you can decide if this matters to you and if so, whether you want to talk with your doctor about it. If you plan to talk with your doctor (or if you already have), please help us by filling out this short survey: propub.li/participate-d4d

Preparing for Your Conversation

If you decide you'd like to talk to your doctor about this, please keep in mind:

  • Many health care professionals in our database have similar names, so you should start by asking your doctor if the person mentioned in this payment record is really him/her.
  • Your doctor may not know he or she is listed as receiving payments, especially if the payments are small. You can direct your doctor to this site (the URL will be printed at the top of the payment record) or directly to the government's site here: https://openpaymentsdata.cms.gov/physician/82876
  • Some doctors are happy to discuss this information with you. Others might not be. The best approach is to ask questions and to not be accusatory.

Questions You Might Want to Ask

  • Is this you?
  • What type of work do you do with these companies?
  • Have you prescribed me any drugs that are manufactured by companies you've taken payments from?
  • Are there non-drug alternatives that I may want to consider first?
  • Are there less expensive generic alternatives to the drugs you have prescribed?
  • What devices have you used in my care that are manufactured by companies you've taken payments from?

Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/doctors/pid/82876
If you spot an error, please let us know at [email protected].

This database was last updated in October 2019 and should only be used as a historical snapshot. Newer data is available at the Centers for Medicare and Medicaid Services Open Payments site.


LAWRENCE LENKE

Listed Specialty: Orthopaedic Surgery
4921 PARKVIEW PL, STE 12A, SAINT LOUIS, MO, 63110-1032

2018 Payments: At a Glance

83

payments

$4,310,459

payment total

4

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
7 $4.14M
Promotional Speaking/Other
12 $123K
Consulting
6 $34,313
Travel and Lodging
15 $12,271
Food and Beverage
43 $2,801

Drugs & Devices in 2018

Totals listed below account for all payments from that mention this product. Beginning in 2016, the government began classifying products as drugs, devices, biologics or medical supplies. Below, you will see drugs (drugs and biologics) and devices (devices and medical supplies). If a payment record mentions more than one product, the entire value will be included in each of those products. When no products are listed, they are not included in the list below.

Product Name Product Type Payments
CD HORIZON

device

$4.28M
Payments with no listed product

N/A

$20,929
MAZORX - RENAISSANCE

device

$8,250
CAPSTONE

device

$5,000
EXCELSIUS - GPS

device

$159
GENERAL K2M PRODUCT DISCUSSION

device

$125
† May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products.

Payment Details

When How Much Related To What For From Third Party Payee
May 14, 2018 $1,031,780 CD HORIZON Royalty or License MEDTRONIC USA, INC. Lgl Spine Llc
Nov 12, 2018 $1,029,721 CD HORIZON Royalty or License MEDTRONIC USA, INC. Lgl Spine Llc
Aug 13, 2018 $1,016,895 CD HORIZON Royalty or License MEDTRONIC USA, INC. Lgl Spine Llc
Feb 13, 2018 $1,015,571 CD HORIZON Royalty or License MEDTRONIC USA, INC. Lgl Spine Llc
Oct 16, 2018 $35,250 CD HORIZON Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation
Mar 13, 2018 $27,188 CD HORIZON Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation
Mar 22, 2018 $24,000 CD HORIZON Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation
May 14, 2018 $16,235 CD HORIZON Royalty or License MEDTRONIC USA, INC. Lgl Spine Llc
Nov 12, 2018 $15,921 CD HORIZON Royalty or License MEDTRONIC USA, INC. Lgl Spine Llc
Aug 13, 2018 $11,888 CD HORIZON Royalty or License MEDTRONIC USA, INC. Lgl Spine Llc
Sep 20, 2018 $10,875 CD HORIZON Consulting MEDTRONIC USA, INC. Lenke Family Foundation
Jul 26, 2018 $9,938 No Listed Product Consulting MEDTRONIC USA, INC. Lenke Family Foundation
Jan 24, 2018 $7,690 CD HORIZON Travel and Lodging MEDTRONIC USA, INC.
Jan 30, 2018 $7,500 No Listed Product Consulting MEDTRONIC USA, INC. Lenke Family Foundation
Dec 13, 2018 $5,625 CD HORIZON Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation
Jun 7, 2018 $5,000 CAPSTONE Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation
Mar 13, 2018 $5,000 CD HORIZON Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation
Jun 6, 2018 $5,000 CD HORIZON Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation
Aug 2, 2018 $4,125 MAZORX - RENAISSANCE Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation
Jan 30, 2018 $4,125 MAZORX - RENAISSANCE Promotional Speaking/Other MEDTRONIC USA, INC. Lenke Family Foundation

For ease of printing, 20 payments are displayed, the largest appearing on top. For a full list of payments, please visit: https://projects.propublica.org/docdollars/doctors/pid/82876

Note: We have made some effort to normalize the data and eliminate duplicates, but the data is primarily as it has been reported by the companies to the Centers for Medicare and Medicaid Services. To purchase the normalized data, please visit the ProPublica Data Store. If you spot an error, please let us know at [email protected].

This site includes data published by the Centers for Medicare and Medicaid Services on June 28, 2019.